I went up to 800mg of seroquel because I recently had a mixed episode that was probably predominantly depression rather than mania like I'm used to. For about a month I mistook it for a flare up of ALL my anxiety disorders at once. I didn't realize it was a mixed episode, or episode at all for that matter, because I wasn't experiencing psychomotor agitation like I usually do when I have them, which is why I think it was more depression than mania.

I think the 50mg of seroquel (that's usually added to treat hypo/mania) to treat the episode was too much and that's when I became so depressed and paranoid. I tried lowering the seroquel by 25mg, but I can't tolerate it because I need it to treat other symptoms.

I may get a better opportunity to see what's going on once the extra 100mg of gabapentin starts doing whatever it's going to do. I'm not going to press the issue with my pdoc at this point. I'm safe, so will give it a couple of days.